Doctor of Healing

Chapter 566

"How?" The bald host immediately asked.

"If you guessed right, the patient ate hot pot for dinner, and some food was not chewed at all. After entering the intestinal tract, these foods continued to exert force on the titanium clip that clamped the blood vessel with the peristalsis of the intestinal tract, and finally caused the titanium clip to fall off. Clamped artery bleeding."

"I'm just saying briefly, it's not necessarily the reason. But summing up my many years of clinical experience, the more patients and patients' families I work on, the more patients and patients' families with poor medical compliance, the more accidents are likely to happen."

After Professor Shen finished speaking, Director Bai and Director Liu in front of the screen nodded frequently.

The two also had similar thoughts, but the relationship with Jixiang was too close and they didn't expect it for a while.

"It is true that many patients do not follow the doctor's advice, which is really a headache."

"When the four King Kongs in the interventional department were still there, something happened once." Director Bai said lightly, "Most of the liver cancer patients in their department have hepatitis, cirrhosis, and varicose veins in the fundus of the stomach."

"I had the operation the next day, and the doctor ordered soft food. As a result, the patient's son didn't know what he was thinking, so he sent dumplings wrapped with celery meat to my father. Think about how hard the celery is, it can't be chewed, and the vein in the fundus of the stomach was scraped directly. Broken, he vomited blood that night, and he didn't wait for the liver cancer to die."

"I also heard about a case from Director Zhao." Director Liu added, "It is also a liver cancer patient with portal vein tumor thrombus. The patient knows that the condition is very serious, and he no longer wants to be treated."

"Later, Director Zhao did the ideological work of the patient, and decided to try it once or twice, and give up if the effect is not good."

"The patient was very lucky. Lipiodol floated into the portal vein tumor thrombus, and the tumor thrombus disappeared before the third operation. It can be said that he saved his life."

"It's really rare." Director Bai nodded, admitting that Director Liu's statement was correct.

"Three operations, the patient can be said to have recovered. She was very happy and went through the discharge procedures on August [-]th. But less than a week after discharge, she was hospitalized again because of vomiting blood."

"Eat nuts?"

"Well, playing mahjong, eating melon seeds, the melon seeds scratched the veins in the fundus of the stomach, and sprayed a mouthful of blood on the mahjong table. Two people who played mahjong with her had a heart attack..."

This is all life, cancer is not fatal, but died because of other things, how can there be reason.

The two chatted briefly, and Professor Shen began to make a concluding statement on the screen.

"The examples I gave before are not off topic. I have thought about similar things many times. I always think that it would be great if all the diseases seen clinically can be avoided, prevented, and cured. Unfortunately, almost 90% of clinical diseases Neither can be cured.”

"There is a good saying - the world is silent, for these sad names, for the thousands of years of lonely time behind these sad names."

"It may seem similar to metaphysics, but that's only because our current theoretical foundation is not solid and solid, and many things cannot be explained. In my imagination, Dr. Jixiang should have embarked on that path of pursuing the truth."

The more Professor Shen talked, the more literary and artistic he became, and the more he talked, the more emotional he became.The speech was slightly incoherent, and it seemed that he had been immersed in his own world and couldn't extricate himself.

Many people couldn't understand what he said, but the show was broadcast and it was not cut.

"Hey, this program probably touched Professor Shen's heart." Director Liu understood, he smiled, shook his head and said.

"As a doctor, there is no regret. Tell the patient not to eat the food that has been seen before, and not to eat the cold and hard food. If the patient refuses to listen, what can be done. This is life."

Director Bai said.

"My high school classmate discovered uterine fibroids. She could take medicine at first, but she refused to do it. When the uterine fibroids grew up, she could undergo minimally invasive surgery, but she still refused. No matter how big it was, it could be surgically removed, but she still refused to do it. Dry."

"She is superstitious about taking folk remedies, and she refuses to go to Guang'anmen Traditional Chinese Medicine Hospital when I introduce her to her."

Director Liu said in a regretful tone.

"Later she suffered from severe anemia, and she was offered blood transfusion to correct the next step of treatment, but she still refused."

"So stubborn." Director Bai said.

"Then one day I went to the bathroom and didn't come out. I guess it was cardiogenic shock caused by orthostatic hypotension, and I passed out directly in the bathroom. It took a long time, and I was cold when I found it."

"Most of the time, what the doctor said still needs to be respected."

"What's the use of what you say? If the patient doesn't listen, do you have a solution?" Director Liu said, "I once met a patient with osteosarcoma who didn't undergo surgery, radiotherapy or chemotherapy, and insisted on acupuncture. Acupuncture is also good, and I also No objection, but you have to find someone reliable."

"If you can't find a good Chinese medicine doctor, just find a genius doctor. Acupuncture needles are directly inserted into the tumor and other places. After half a year, the re-examination shows that the whole body is densely packed with implants and metastases."

"If you say it's life."

Director Bai suddenly remembered something.

"There was a big epidemic a few years ago, and you can't do strenuous exercise after it turns cloudy, you remember."

"remember."

"Dr. Wang, a neurosurgery doctor, resumed running 5 days after the fever, 10 kilometers a day."

"And this thing?!" Director Liu was surprised.

"How stubborn he is, he doesn't listen to anyone. I even made a special phone call to persuade him. At that time, I felt that he was bound to have an acute myocarditis outbreak, but you see that Dr. Wang is still alive and kicking now."

"Old Bai, the things you said all ended well." Director Liu said with a smile, "Does it mean that the older you get, the softer your heart becomes, and you don't want to see those miserable things."

"The older you get, the more numb it becomes. It doesn't matter what you see or not. There are a lot of things like not following the doctor's orders. The simplest thing is the drip speed." Director Bai said, "I was patrolling the ward when I was still in the clinic. "

"You are willing to use the word patrol, do you think you are a lion?" Director Liu asked with a smile.

"Lion? I'm just a watchman." Director Bai said, "One day I saw that the patient's infusion rate was fast after the operation, so I slowed it down to about 1 drops per minute, and told the patient and the patient's family members not to hurry up. Otherwise, there will be some complications or something."

"The patient and the patient's family members spoke well, and I understand. It turned out that in less than an hour, a bottle of 1ml liquid was put in, and the patient was directly acute left heart failure with cerebral edema."

"After a day of rescue, the talent came here. I really don't understand. If the drip is slow, it will be slow. What's the rush?"

Director Liu laughed when he heard Lao Bai's reminiscence of his clinical experience.

On the screen, the screen changed, and the show had switched to the ward.

The patient's complexion had recovered a lot, and he didn't look so white. Director Zou stood in front of him in white clothes.

At this time, the patient is like a child who has made a mistake, with a look of embarrassment.

He didn't dare to look at Director Zou, and almost covered his head with the quilt.

Chapter 567

"Thank you, doctor." The patient still forced himself to express his polite gratitude.

Although he was depressed due to massive blood loss, the bleeding has stopped, and there is no problem with short-term communication.

"I told you so much, but you really didn't listen to a word." Director Zou laughed angrily, and his smile was obviously more playful.

"..."

"..."

Both the patient and the patient's family members looked embarrassed.

"It's all right now, fasting for 3 days, if you don't have blood in the stool and other discomforts, you can try porridge." Instead of repeatedly mentioning the wrong things the patient did before, Director Zou began to talk about the future treatment.

"Yes, yes." The patient nodded repeatedly.

"Three days, right?" The patient's family took out their mobile phone and glanced at the time.

Director Zou understood what the patient’s family was thinking. He took a sip of saliva and laughed, “There is no need for a very strict 72 hours. If there is no blood in the stool the next morning, consult the doctor who manages the bed. If the doctor agrees, you can try porridge. .”

"Oh oh oh."

The patient's family members also said three times in a row.

Director Zou explained a few more words to the patient and the patient's family, and then took Ji Xiang away.

This part of the program was filmed by a camera. Presumably, the family members of the patients agreed to the intervention of the program team. I don’t know if it was Ji Xiang or Director Zou who did the work.

In the hospital, as long as the chief surgeon comes forward, the vast majority of patients and their family members will not refuse such "small things".

In the review room.

The bald host asked, "Mr. Shen, are similar situations common?"

"Not much, or very little." Professor Shen said seriously, "Not following the doctor's orders... Let me give you an example. Many years ago, when I entered the hospital and started my rotation, a nurse diagnosed acute appendicitis requiring surgery. treat."

"Because it was my own nurse, the old director at that time came to the stage to perform the surgery. But when I was waiting to send the patient, I saw the nurse hiding in the nurse's duty room and eating."

"Huh? Doesn't she know?" A guest looked at Professor Shen suspiciously.

"I know." Professor Shen smiled slightly, "Humans, there are always times when the brain is flooded, no matter who it is, regardless of gender, age, identity, or status, there are similar points in time. So I still hold on to this situation. Have a more tolerant attitude, as long as things can be salvaged."

"Mr. Shen, the capsule gastroscopy you mentioned earlier is a bit expensive, but why not use it?" The bald host stopped talking about the patient's medical obedience, but asked a question along the way.

"Capsule gastrointestinal endoscopy can't take pathological biopsy, at most it can only see if there is any problem. If there is a problem, it is still necessary to use a conventional gastrointestinal endoscope for operation. Many patients do not understand and waste their tongue if it costs twice."

"I always feel that capsule gastroscopy is very advanced." The bald host smiled with a twisted mouth. "A few years ago, I heard that a master gastroscope in Shanghai made a colonoscopy for himself."

"It's not too difficult..." Professor Shen smiled, but when he said this, he obviously hesitated, and then shook his head, "But I can't do it for myself."

"Can this situation be avoided with capsule gastroscopy?"

The bald host continued to dig deeper into the topic of capsule gastroenteroscopy.

But it was not Professor Shen who answered his question next, but came to the doctor's office as the screen turned.

There was a writing board in the doctor's office. Director Zou stood in front of the writing board and explained the difference between ordinary gastroenteroscopy, painless gastroenteroscopy and capsule gastroenteroscopy to the interns of the program group.

This passage was very well connected, as if Director Zou heard the bald host's question, and started answering directly without delay.

Generally speaking, it is a gastroenteroscope, but only the stomach, part of the ileum, colon, and rectum can be seen.

Because the jejunum is relatively deep, it needs to make a lot of bends to enter, and there is a risk of intestinal rupture, so capsule gastrointestinal endoscopy is generally used.

A few minutes of explanation is regarded as popular science content. Director Zou's explanation of gastroenteroscopy was edited to be concise and concise, and there was animation to cooperate. Even Director Bai and Director Liu nodded frequently after watching it.

"The show is good!" Director Liu concluded, "There must be a professional doctor guiding the editing. Lao Bai, I haven't heard such a professional science popularization in many years. It is concise and down-to-earth, not bad."

"Indeed, what I have always wanted to do is similar science popularization work, but I have no chance. Now I see a variety show that can do it..."

Director Bai said, pouring himself a drink.

Liu Zhi vaguely saw Lao Bai slightly turning his wrist before drinking, as if toasting a glass of wine to the program crew.

He knew what Lao Bai meant.

The more detailed the medical science popularization work is, the easier it is to do clinical work.

This is a position of public opinion. Professional doctors come to popularize science, and superimposed on the film-level animations produced regardless of cost. All these directly sweep away those official accounts that look professional but are actually misleading.

"However, the original intention of the program group seems to have changed." Director Bai said with a sip of wine, smiling.

"Damn, what's so interesting about a few interns making a fool of themselves in the clinic. Look at Xiaoji, break off the ballpoint pen, and poke the patient's main airway all at once. I'll ask you if you're awesome!"

"Hahaha." Director Bai laughed, "According to the tone of the show, this episode should be over. But there is still content to watch, so it won't be full of advertisements."

Director Liu didn't notice this, he had already forgotten the passage of time.

Glancing at the phone, Director Liu realized that there was still more than half an hour left. He frowned slightly, "The program team shouldn't be so shameless."

"What's next? The scientific work of gastrointestinal endoscopy has been completed, and I also saw the emergency treatment of a patient who didn't follow the doctor's advice, didn't watch, and went home to eat Hesai and caused massive bleeding."

Director Bai pondered for a while as he spoke.

"I can't think of anything else."

"Could it be an intern going to clinical practice?" Director Liu asked.

"No." Director Bai gave his thoughts directly, "The directors and producers of the program group are veterans. If clinical practice is required at the beginning, they will definitely be edited before emergency treatment. Now the audience's threshold is raised. , It doesn’t make any sense to engage in clinical practice.”

Director Liu also thought it was a bit strange. Could it be that the next period of time was all advertisements? That would be too shameless.

In the show, Ji Xiang was sitting in his seat. He seemed to be listening carefully, taking notes in his notebook without performing.

Director Bai looked at the young man with a smile, and suddenly that weird sense of frustration reappeared.

"Huh?" Director Bai was a little surprised.

Similar weird feelings always appear in Jixiang, but Director Bai can't always accept the strangeness.

Chapter 568 No fart deserves to be trusted

three days ago.

Ji Xiang listened to Director Zou explaining the use of various gastrointestinal endoscopes, and suddenly came to the operating room of the system.

"Teacher." Ji Xiang bowed and saluted.

The system NPC looked at Ji Xiang with a smile, "What's wrong?"

"I heard from Mr. Zou that patients feel very uncomfortable during ordinary gastrointestinal endoscopy."

"That's true." The system NPC said, "Especially the location of the colon and spleen. Some patients couldn't get through the colonoscopy because of the severe pain. That's why they had the painless colonoscopy later."

The system NPC looked at Ji Xiang and smiled slightly, "Want to try?"